Harmful Algal Bloom-related Illness Surveillance System

One Health Harmful Algal Bloom System (OHHABS)

Documents and Forms

Document Name Document Type
Att. C - OHHABS Data Elements.xlsx Other-EXCEL Spreadsheet
Att. C - OHHABS Data Elements.xlsx Other-EXCEL Spreadsheet

Information Collection (IC) Details

IC Title:	Harmful Algal Bloom-related Illness Surveillance System	Agency IC Tracking Number:	0920-1105

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-EXCEL Spreadsheet			Att. C - OHHABS Data Elements.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	228	57	171
Annual IC Time Burden (Hours)	76	19	57
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.